| NPI | 1558437905 |
|---|---|
| Doing Business As | EASTERN DENTAL |
| Entity Type | Organization |
| Authorized Contact | SHEWANDA CLARK Revenue Integrity Supervisor 205-558-2158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2019-02-12 |